Provider Type Icon

MANUEL GRIEGO JR DO PA NPI 1861692725


NPI Information

NPI: 1861692725
Provider Name: MANUEL GRIEGO JR DO PA

Doing Business As: PLAZA MEDICAL CENTRE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2081713

Address:
700 N PEARL ST
SUITE N208
DALLAS, TX
ZIP 75201
Phone: (214) 999-9355
Get Directions

MANUEL GRIEGO JR DO PA is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MANUEL GRIEGO JR DO PA NPI is 1861692725. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plaza Medical Centre.

The provider's business location address is:

700 N PEARL ST
SUITE N208
DALLAS, TX
ZIP 75201-824
Phone: (214) 999-9355

The provider's authorized official is Carole Ann Barnett .
The authorized official title is Practice Administrator and has the following contact phone number (214) 580-7277.

The CLIA number assigned to this NPI record is 45D2081713 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineF1604TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10026CCMEDICARE PINTEXAS
2E26327MEDICARE UPINTEXAS
380266201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.